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Individual

MARCELLUS IRVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1914 DEERHURST LN, HOUSTON, TX 77088-3319
(832) 416-5582
Mailing address
5380 W 34TH ST # 186, HOUSTON, TX 77092-6626

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
01/11/2019
Last updated
01/12/2019
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